Active NPI
Philip J Bowman
- Orthopaedic Surgery Physician
- Phoenix, AZ
National Provider Identifier
1649249277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1506
- Practice address
- 3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029-4608 - Phone
- (602) 841-9720
- Fax
- (602) 841-9794
- NPI assigned
- Mar 16, 2006
- Last updated
- Apr 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1506 | AZ | Primary |
Addresses
Primary practice location
3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029-4608
Mailing address
3201 W Peoria Ave
Ste A105
Phoenix, AZ 85029-4608
Phone (602) 841-9720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1506 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1649249277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE",
"address_2": "STE A105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294608",
"telephone_number": "602-841-9720",
"fax_number": "602-841-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W PEORIA AVE",
"address_2": "STE A105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294608",
"telephone_number": "602-841-9720",
"fax_number": "602-841-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "PHILIP",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "1506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.